Provider Demographics
NPI:1104154939
Name:BALABAN, FRANK S (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:S
Last Name:BALABAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8029 RAY MEARS BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-2707
Mailing Address - Country:US
Mailing Address - Phone:865-560-1996
Mailing Address - Fax:865-560-1278
Practice Address - Street 1:8029 RAY MEARS BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-2707
Practice Address - Country:US
Practice Address - Phone:865-560-1996
Practice Address - Fax:865-560-1278
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47411223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics